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International journal of sports medicine2026; doi: 10.1055/a-2884-0228

Musculoskeletal Burden in German Equestrians: Hip-Specific Symptoms and Risk Factors.

Abstract: Equestrian sport is a major component of German athletics, with broad recreational participation and a strong competitive sector. In 2019, about 2.32 million people identified as active riders, and more than 60,000 competitional licences were issued in 2021, reflecting substantial competitive engagement across the Olympic disciplines and national performance levels. Hip pain is a frequent and clinically relevant complaint among athletes and can stem from structural, degenerative, or overuse-related causes. In riding, the hip joint is crucial for transmitting forces and coordinating rider-horse interaction. Fine adjustments in tension and release at the hip allow riders to follow and influence the horse's movement; pain can therefore disrupt key control mechanisms. Studies consistently show a notable burden of musculoskeletal symptoms among equestrians. Hip pain affects 8-19% of riders and is associated with impaired pelvic stability, reduced lower limb control, and performance limitations. Chronic symptoms frequently relate to previous injuries, and older riders report persistent discomfort, likely due to cumulative mechanical loading. This study aims to determine the prevalence and characteristics of hip problems in competitive German equestrians and identify relevant risk and protective factors.
Publication Date: 2026-06-12 PubMed ID: 42285140DOI: 10.1055/a-2884-0228Google Scholar: Lookup
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  • Clinical Trial
  • Journal Article

Summary

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Overview

  • This research investigates the prevalence, characteristics, and risk factors of hip pain and musculoskeletal burden among competitive equestrians in Germany.
  • The study aims to understand how hip-specific symptoms affect riders and what factors contribute to or protect against these problems.

Introduction

  • Equestrian sport is very popular in Germany with millions of active riders and tens of thousands of competitive licenses, showing high participation in both recreational and competitive riding.
  • Hip pain is a common concern in athletes and is especially relevant for riders due to the hip joint’s role in facilitating precise force transmission and coordination between rider and horse.
  • The ability to finely control movements at the hip is critical for effective riding; pain in this joint can impair these essential control mechanisms.
  • Previous studies indicate that 8-19% of equestrians experience hip pain, which is linked to diminished pelvic stability, compromised control of the lower limbs, and decreased riding performance.
  • Chronic hip symptoms often correlate with prior injuries and accumulate over time, which especially impacts older riders.

Study Objectives

  • To determine how common hip problems are among competitive German equestrians.
  • To describe the nature and characteristics of these hip-related symptoms.
  • To identify risk factors that increase the likelihood of hip problems and protective factors that might reduce them.

Significance

  • Understanding the hip-specific musculoskeletal burden helps develop targeted prevention and treatment strategies.
  • This knowledge is important for maintaining rider health and performance, as well as prolonging the athletic career of equestrians.
  • The findings can inform trainers, medical professionals, and riders about appropriate interventions and training modifications to reduce hip injury risks.

Cite This Article

APA
Ramsauer C, Hepp P, Theopold JD, Kühnapfel A, Henkelmann R. (2026). Musculoskeletal Burden in German Equestrians: Hip-Specific Symptoms and Risk Factors. Int J Sports Med. https://doi.org/10.1055/a-2884-0228

Publication

ISSN: 1439-3964
NlmUniqueID: 8008349
Country: Germany
Language: English

Researcher Affiliations

Ramsauer, Carla
  • Leipzig University, Department of Orthopaedic, Trauma and Plastic Surgery, Germany, Leipzig.
Hepp, Pierre
  • Leipzig University, Department of Orthopaedic, Trauma and Plastic Surgery, Germany, Leipzig.
Theopold, Jan Dirk
  • Leipzig University, Department of Orthopaedic, Trauma and Plastic Surgery, Germany, Leipzig.
Kühnapfel, Adreas
  • Leipzig University, Institute for Medical Informatics, Statistics and Epidemiology (IMISE), SN, Germany, Leipzig.
Henkelmann, Ralf
  • Leipzig University, Department of Orthopaedic, Trauma and Plastic Surgery, Germany, Leipzig.

Conflict of Interest Statement

The authors declare that they have no conflict of interest.

Citations

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